| NPI | 1396380655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 11693) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F344910) |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2023-03-13 |